Provider Demographics
NPI:1275546889
Name:HYER, ALISON M
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:M
Last Name:HYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:6194 ROUTE 23A
Mailing Address - City:TANNERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12485-0911
Mailing Address - Country:US
Mailing Address - Phone:518-589-6825
Mailing Address - Fax:518-589-6826
Practice Address - Street 1:6194 ROUTE 23A
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12485-0911
Practice Address - Country:US
Practice Address - Phone:518-589-6825
Practice Address - Fax:518-589-6826
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0254871225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10102209OtherODPHP
NY383787OtherMVP
NY839606OtherMPN
NYP00294168OtherPALMETTO GBA
NY000408994001OtherBSNENY
NY0102406OtherGHI PPO HMO
NYQ23G11OtherEMPIRE BCBS
NY839606OtherMPN